The authors described their experience with a more than ten-year group of children patients, who were underwent tonsillectomy with adenotomy for an obstruction problem. In healthy hypertrophic tonsils the authors prefer tonsillotomy to tonsillectomy for their immunocompetent function.

        Key words: physiological hypertrophy of tonsils, adenoid vegetation, obstruction syndrome, tonsillotomy, adenotomy.